# DANIEL T. WEIDENTHAL MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649520263
- **Authorized official:** DR. DANIEL T. WEIDENTHAL M.D. (PRESIDENT)
- **Authorized official phone:** (216) 464-5266

## Contact information

- **Practice address:** 25700 SCIENCE PARK DRIVE, SUITE \#170, BEACHWOOD, OH 44122-7335
- **Practice address phone:** (216) 464-5266
- **Practice address fax:** (216) 464-5290
- **Mailing address:** 25700 SCIENCE PARK DRIVE, SUITE \#170, BEACHWOOD, OH 44122-7335
- **Mailing address phone:** (216) 464-5266
- **Mailing address fax:** (216) 464-5290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 35023014 | OH | Yes |

## Other

- **Enumeration date:** 09/11/2012
- **Last updated:** 07/05/2024